Thompson, Craig S
Thompson, Craig S is an individual health care provider with primary practice located at 1040 Delaware Avenue , Marion OH 43301-1814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thompson, Craig S can be contacted via phone (740) 383-7831.Contact Information
Primary practice address
1040 Delaware Avenue
Marion OH 43301-1814
Phone: (740) 383-7831
Fax: (740) 375-8137
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.047688 | Ohio |
Profile Details
| NPI number | 1215995758 |
|---|---|
| LBN Legal business name | Thompson, Craig S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Oct 2nd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215995758 | NPPES |
| Other | 311098079 | TAX ID | |
| Other | 311098079 | TAX ID | |
| Other | 353077 | TAX ID | |
| Other | 311098079 | TAX ID | |
| Other | 634340 | TAX ID | |
| MEDICAID | 0492748 | TAX ID | |
| Other | 311098079026 | TAX ID | |
| Other | 0639721 | TAX ID | |
| Other | 000000118411 | TAX ID | |
| Other | 0400770 | TAX ID | |
| Other | 110064315 | TAX ID |
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